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California rates for HCPCS V2113

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $70.79 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $81.28 / $102.33
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $194.98 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.15 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $69.18 / $85.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $741.31 / $741.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $77.62 / $97.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $72.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $37.15 / $69.18